What is a Midwife?

What is a midwife? A midwife is a trained professional, an expert in individualized care, and a trusted friend. A midwife can be of any ethnic background, color, or religion, but midwives are usually women. A midwife provides prenatal care and will remain with you throughout your labor and birth and follow up with postpartum care.

In North Carolina midwives come from a variety of educational backgrounds. Some are Registered Nurses who also have an advanced education in women's health, known as Certified Nurse Midwives; some are midwives with extensive training and certification in out-of-hospital births, known as Certified Professional Midwives, and some are midwives that have learned the art of midwifery through hands on training that is passed from generation to generation, they are known as traditional midwives. Although midwives are trained in a variety of ways, you must remember that one midwife is not necessarily more advanced, or a better midwife based solely on her classification.

Although you may have an idea of what a midwife is supposed to be, you may be surprise to learn that midwives are as diverse as the clients who hire them! There are incense burning, New Age midwives, there are very conservative Protestant midwives, and there are hippy Protestant midwives and midwives representing other religions and beliefs. In other words, if you are one that believes you can’t judge a book by its cover, but know a midwife by her shoes, you will be surprised to know there are Birkenstock, Nurse Mate,and Reebok wearing midwives out there!

The Certified Nurse Midwife

Certified Nurse Midwives must have a Bachelor’s Degree, although 75% of CNMs in North Carolina hold a Master’s Degree. They must also have completed a university affiliated nurse-midwifery program accredited by the American College of Nurse-Midwives and passed the exam. CNMs are educated primarily in a hospital setting. CNMs are not required to have out-of-hospital clinical training.

They are legal and licensed in all fifty states and practice mostly in hospitals and birth centers and must have an agreement with a doctor for consultation and referral; practicing without such an agreement can lead to loss of license. Validation of continued competency for certification is required every 5 years for all certified nurse midwives in clinical practice.

For more information contact the American College of Nurse-Midwives at 202-728-9860, or write to 818 Connecticut Ave. NW, Suite 900, Washington, DC 20006.

The Certified Professional Midwife

Certified Professional Midwives are not required to be nurses and practice mostly in homes. The Midwifery Education Accreditation Council must accredit their education and they must complete extensive hands on, out-of-hospital training that prepares them for the CPM exam. The exam is administered by the North American Registry of Midwives.

At this, time North Carolina does not recognize or license CPMs. NARM requires that CPMs become re-certified every three years to maintain their certification.

For more information contact the North American Registry of Midwives at 1-888-84-BIRTH, or write to PO Box 6449, Bend, OR 97708-6449.

The Traditional Midwife

Traditional midwives are not required to be nurses and they have obtained their education from apprenticing with other midwives. They practice in homes.

At this time, North Carolina does not recognize or license traditional midwives.